Active NPI
Ann Davis
- Marriage & Family Therapist
- Louisville, KY
National Provider Identifier
1922411255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1113
- Practice address
- 610 Breckenridge LN
#3
Louisville, KY 40207-4541 - Phone
- (502) 894-4496
- Fax
- (502) 479-9868
- NPI assigned
- Jun 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1113 | KY | Primary |
Addresses
Primary practice location
610 Breckenridge LN
#3
Louisville, KY 40207-4541
Mailing address
610 Breckenridge LN
#3
Louisville, KY 40207-4541
Phone (502) 894-4496
Other names 1
- Ms. Ann Davis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1113 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401840000000",
"number": "1922411255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 BRECKENRIDGE LN",
"address_2": "#3",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074541",
"telephone_number": "502-894-4496",
"fax_number": "502-479-9868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 BRECKENRIDGE LN",
"address_2": "#3",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074541",
"telephone_number": "502-894-4496",
"fax_number": "502-479-9868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ANN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-04",
"last_updated": "2014-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KY",
"license": "1113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANN",
"last_name": "DAVIS",
"prefix": "MS.",
"credential": "MFTA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.